1
|
Zina D, Rosita K, Kristina Z, Giedre R, Jurate M. Case Report: Autosomal dominant polycystic kidney disease and Wilms' tumor in infancy and childhood. Front Pediatr 2024; 12:1322142. [PMID: 38577638 PMCID: PMC10991706 DOI: 10.3389/fped.2024.1322142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 03/11/2024] [Indexed: 04/06/2024] Open
Abstract
Background Autosomal dominant polycystic kidney disease (ADPKD) is rare but one of the most common inherited kidney diseases. Normal kidney function is maintained until adulthood in most patients. About 7 in 10 patients with ADPKD develop kidney failure in the latter half of their fifth decade of life. Wilms' tumor, or nephroblastoma, is the most common malignant tumor stemming from kidney cells in the pediatric age group. This type of tumor is the most frequently occurring kidney malignancy in children between the ages of 0 and 5 years. The exact cause of Wilms' tumor is unknown, though about 10% of cases have a genetic predisposition. Wilms' tumor is one of the most successfully treated childhood oncological diseases. Overall, the 5-year survival rates were approximately 90% in both the National Wilms Tumor Study (NWTS) and Paediatric Oncology SIOP studies, showing similar results. Case presentation We report a case of a girl diagnosed with autosomal polycystic kidney disease, who subsequently developed Wilms' tumor and underwent successful treatment with chemotherapy. Polycystic kidney disease was suspected in the fetus during prenatal ultrasound and confirmed after birth with ultrasound and genetic testing. The Wilms tumor was an accidental finding during abdominal MRI at the age of 2 years old to rule out liver pathology. Conclusion Reports on whether a diagnosis of ADPKD is a risk factor for malignancy are conflicting. In this particular case, Wilms' tumor is present in the background of polycystic kidney disease and was timely diagnosed by an incidental MRI.
Collapse
Affiliation(s)
- Doviltyte Zina
- Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
- Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| | - Kiudeliene Rosita
- Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
- Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| | - Zviniene Kristina
- Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
- Department of Radiology, Medical Academy, Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| | - Rutkauskiene Giedre
- Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
- Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| | - Masalskiene Jurate
- Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
- Department of Pediatrics, Medical Academy, Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| |
Collapse
|
2
|
Naggar A, Assila S, Laasri K, Andour H, Izi Z, Lamalmi N, El Haddad S, Allali N, Chat L. Bilateral Nephroblastomatosis With a Unilateral Wilms Tumor: A Case Report Highlighting Imaging Characteristics. Glob Pediatr Health 2024; 11:2333794X231224566. [PMID: 38223903 PMCID: PMC10785724 DOI: 10.1177/2333794x231224566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 12/13/2023] [Accepted: 12/18/2023] [Indexed: 01/16/2024] Open
Abstract
Nephrogenic rests (NRs) are foci of embryonic nephrogenic cells that persist beyond the 36th week of gestation. They are precursor lesions of Wilms tumor and are found incidentally in approximately 1% of infants. The term nephroblastomatosis (NBS) is utilized when nephrogenic rests extensively or multifocally affect the kidneys. We report a case of a left nephroblastoma with bilateral nephroblastomatosis, treated with neoadjuvant chemotherapy followed by a left nephrectomy, highlighting the imaging features of nephrogenic rests on ultrasound, CT, and MRI, and the potential possibilities of distinguishing nephroblastomas from nephrogenic rests in one hand, and the possibilities of distinguishing active nephrogenic rests from inactive ones in the other hand. We furthermore discuss the role of histology in making those distinctions, and the role of chemotherapy in reducing nephrogenic rests' size and cellularity.
Collapse
Affiliation(s)
- Amine Naggar
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Saad Assila
- Pathology Department, Ibn Sina Hospital, Mohammed V University, Rabat-Morocco
| | - Khadija Laasri
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Hajar Andour
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Zineb Izi
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Najat Lamalmi
- Pathology Department, Ibn Sina Hospital, Mohammed V University, Rabat-Morocco
| | - Siham El Haddad
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Nazik Allali
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| | - Latifa Chat
- Mother and Child Radiology Department, Children’s Hospital, Mohammed V University, Rabat, Morocco
| |
Collapse
|
3
|
Wang X, Li J, Liu P, Tian J, Li M, Sun N, Zhang W, Song H. How does Nephroblastomatosis impact the prognosis of unilateral Wilms tumor? Int Urol Nephrol 2023; 55:803-811. [PMID: 36787088 DOI: 10.1007/s11255-023-03493-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 01/26/2023] [Indexed: 02/15/2023]
Abstract
PURPOSE We aimed to explore whether Nephroblastomatosis (Nbm) has an effect on the prognosis of Wilms tumor (WT), and compare the relapse-free survival (RFS) and overall survival (OS) after surgery of WT patients with or without Nbm. METHODS We retrospectively analyzed the clinical data of children with WT admitted to our department from April 2010 to September 2021. The enrolled patients were divided into two groups according to whether they were combined with Nbm histologically or not, the Nbm group for patients accompany with Nbm and the non-Nbm group for pure WT. All patients underwent a standardized comprehensive treatment according to National Wilms Tumor Study 5. Clinical variables, pathological results, and the prognosis were collected during follow-up. RESULTS A total of 345 patients were finally enrolled in this study, of which 299 patients in the non-Nbm group and 46 patients in the Nbm group. Univariate Cox analysis revealed that Nbm was not the risk factor of either OS or RFS. The difference of postoperative RFS (P = 0.66) and OS (P = 0.68) between two groups was not significant. Subgroup analysis revealed that the RFS and OS between the non-Nbm group and the Nbm group had no statistical difference under the condition of same stage (low grade and high grade), same histology (favorable histology and unfavorable histology), same surgical approach (nephrectomy and nephron-sparing surgery), with or without lymph node metastasis (P > 0.05). CONCLUSION Although Nbm had a strong correlation with the occurrence of WT, a combined Nbm did not increase the risk of metastasis and poor prognosis of WT. After complete surgical resection followed by standardized treatment, the long-term RFS and OS were not different from pure WT. IEC-C-006-A04-V.06 retrospectively registered.
Collapse
Affiliation(s)
- Xinyu Wang
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Jiayi Li
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Pei Liu
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Jun Tian
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Minglei Li
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Ning Sun
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Weiping Zhang
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China
| | - Hongcheng Song
- Department of Urology, National Center for Children's Health (NCCH), Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China.
| |
Collapse
|